MARIE DAM (NPI# 1164576062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164576062 |
| Entity Type | Individual |
| Full Name | MARIE DAM |
| Credential | MD |
| Practice Address |
35 Tower Ln Suite 103 Avon CT 06001-4237 |
| Practice Telephone | 8609213345 |
| Practice Fax Number | 8602011041 |
| Mailing Telephone | 8609213345 |
| Mailing Fax Number | 8602011041 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2015-05-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 45523 | KY | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 113731 | FL | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 036441 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001364413 | 05 |
| Street Address |
35 TOWER LN SUITE 103 |
| City | AVON |
| State | CT |
| Zip Code | 06001-4237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427056472 | Debra V Johnson | Nurse Practitioner | 35 Tower Ln, Unit 102, Avon, CT 06001-4237 | 2005-07-13 |
| 1386205805 | Douglas Lampert | Counselor | 35 Tower Ln, Avon, CT 06001-4237 | 2019-06-25 |
| 1093277709 | Debra V Johnson, Aprn | Nurse Practitioner | 35 Tower Ln, Unit 102, Avon, CT 06001-4237 | 2019-04-02 |
| 1851877666 | Susan Elizabeth Alexe | Social Worker | 35 Tower Ln, Avon, CT 06001-4237 | 2018-07-15 |
| 1942759733 | Infinity Integrated Counseling and Spa Services LLC | Social Worker | 35 Tower Ln, Suite 202, Avon, CT 06001-4237 | 2016-09-22 |
| 1710190590 | Soraya Sawicki | Social Worker | 35 Tower Ln, Suite 202, Avon, CT 06001-4237 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247338 | Alledran Med LLC | Durable Medical Equipment & Medical Supplies | 47 Avonwood Road, Unit #218, Avon, CT 06001 | 2020-08-28 |
| 1265053391 | 001care Inc | In Home Supportive Care | 20 Tower Lane, Avon, CT 06001 | 2020-04-29 |
| 1649813783 | Peoplesdental, P.C. | Dentist | 20 W Avon Rd Ste 104, Avon, CT 06001 | 2019-10-22 |
| 1740822063 | I E Consulting, LLC | Home Health | 1-5 East Main Street, Avon, CT 06001 | 2019-10-09 |
| 1598324261 | Prima Labs, LLC | Orthopaedic Surgery | Dr. Alexandra 58, Kezmarok, SLOVAKIA 06001 | 2019-06-06 |
| 1194220996 | Theresa L. Hixson | Social Worker | 152 Simsbury Rd., Building 9, Avon, CT 06001 | 2018-03-26 |
| 1851809974 | Kathleen Ann Subasic | Occupational Therapist | 19 Stockbridge Dr, Avon, CT 06001 | 2018-01-11 |
| 1801254297 | Vanessa Brodie | Psychologist | 395 W Avon Rd Ste 1, Avon, CT 06001 | 2016-02-01 |
| 1346614468 | Bryan Lilley | Physical Therapist | 34 Dale Rd., 202, Avon, CT 06001 | 2015-12-01 |
| 1073947446 | Rahel K. Saroff Counseling Services LLC | Counselor | 7 Towpath Lane, Avon, CT 06001 | 2013-08-21 |
| Find all providers in zip 06001 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477033017 | Jm Medical Consulting LLC | Internal Medicine | 43 Westmont Rd, Avon, CT 06001-2381 | 2018-08-14 |
| 1083964845 | Hope Internal Medicine Pllc | Internal Medicine | 498 Collins St, Avon, NY 14414-1466 | 2012-09-19 |
| 1891098877 | Norm Numerof, Md, PC | Internal Medicine | 142 Beaver Creek Pl., Suite 112, Avon, CO 81620-0000 | 2010-12-13 |
| 1578721783 | Melissa C. Knutson | Internal Medicine | 1351 Ronald Reagan Pkwy Ste A, Avon, IN 46123-6764 | 2008-05-26 |
| 1760656151 | Omar Batal | Internal Medicine | 1111 N Ronald Reagan Parkway, Suite 171, Avon, IN 46123-6910 | 2008-04-16 |
| 1982826616 | Rene Lerer | Internal Medicine | 29 Saint Andrews Dr, Avon, CT 06001-4050 | 2007-05-03 |
| 1679640841 | Wayne Chen | Internal Medicine | 44 Dale Road, Avon, CT 06001-4320 | 2006-11-30 |
| 1538258439 | Lisa Kinderman | Internal Medicine | 5250 East Us 36, Suite 610, Avon, IN 46123 | 2006-10-11 |
| 1649375049 | Edgar Rainer Maria Marr | Internal Medicine | 36465 Detroit Rd, Avon, OH 44011-1576 | 2006-09-13 |
| 1902915713 | Ralph Rosenberg | Internal Medicine | 36 East Main Street, Avon, CT 06001-3828 | 2006-08-29 |
| Find all providers in AVON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.